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HomeMy WebLinkAboutStreet Cut Permits 40 Steep Road (2) 1500046 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 04/28/2015 GIS ID: 85500040 FEE: 25.00 MUNIS APPLICATION# 201500395 EXPIRATION DATE: 04/27/2016 APPLICANT LOCATION NAME: ASPHALT MAINTENANCE PAVING ADDRESS: 40 STEEP ROAD ADDRESS: 9 MILLENNIUM DRIVE OWNER: BORDONARO SEBASTIANO A&PAULA F CROMWELL, CT 06416 40 STEEP.ROAD SOUTH WINDSOR,CT 06074 PHONE WORK DESCRIPTION: DRIVtWAY APPLICANT AGREES TO FURNISH THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THE APPLICANT IS FAMILIARWITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. ISSUED BY DATE INSPECTED INSPECTED BY 4/29/2015 11:23 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: CONTRACTOR: If LOCATION: �,[( Lad TYPE OF WORK. 1Li DATE INSP.NEEDED: DATE INSP:— INSPECTED BY: WORK IN PROGRESS: SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: rn DATE: S/moitoy/Porms 2014 Town of South Windsor INPSEC ION REPORT 14 Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No. TOWN HALL 1540 SULLIVAN AVENUE SOUTH IND O,CT 6074 FEE $25.00 Name of Firm one No. 9b ;2. Address of Firm Zip Code_Q(,3(4( fe, Location of proposed work Describe fully nature of permit requested W . . Starting date Cali BeforeYOU Dig No ® - +-�u'I v►h T PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR Check Applicable: ❑ No Pavement,.Curb or Sidewalk Cut ❑Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut ❑ Existing Driveway,No Changes Proposed Driveway Widening ❑ Proposed New Driveway Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic Show sketch of proposed work or furnish Indicate North This section to be filled out by Town two copies of separate drawing w No.cuts Est.Patch Size(s) sf Est.Pvt.Thickness in. Est. Patch Unit Price$ /sf .:. Est.Patch Cost$ y' Est.Curb Replacement ft Est.Curb Unit Price$ /ft Est.Curb Cost$ C : Est.Sidewalk Replacement sf Est.Sidewalk Unit Price$�sf Est.Sidewalk Cost$ Est.Traffic Hours hr Est.Traffic Unit Cost Est.Traffic Control Amt.of Deposit$ Total Due$ z O Cash O Check# Applicant Is responsibie.for contacting the Police Dept:and C.B.Y.D PERMIT SHALL BE KEPT ON JOSSITE AT ALL TIMES Paid By A. I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH ..:;WINDSOR'S STREET CUT PERMIT MANUAL. Signed: Print Name Date: r '� Street Excavation Permit 2014 - gUCBIN 122.19 16 .59 1> tao.�s 4 l p y, p •06 B I T.CUR 8 �kd h _ _ 2e'G i X C 8 /NV,/p3 7 �' $ rF�2 x � c,Y — • •© 7 . . SIT.CURB �� Q 0 3 918 32./ X RS 2S�FR I 446 40 x 2 STY FR. TY FR. /34.4 TF 141.05 J BSMT. FL 32.43 I 1 -aF 745, x LAT% .O'L!n, ' i " Y 1300 E-OF N.N 6,7Izic DEEI4 IrAT. 21•c�' , k L J 0AY', a 12T X -o Oro � AS x 1 • --- 0 ERWINS 1 1 = 40' THEOD E S. DEROSA, RO RT F. SAN A L• r A N N S. I 1�� 1 T N �' f